Jared Wadsworth, DC, MS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

10320622-1202 Issued in UT

Practice address

730 S Sleepy Ridge Dr Ste 210
Orem, UT 84059-2614

Phone

(385) 453-0009

Fax

(385) 453-0199

NPI assigned

Aug 8, 2018

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JN Wadsworth PLLC

  dba Performance Sport & Spine

  • Rehabilitation Chiropractor
  • Orem, UT
  • NPI 1154801058
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1356820609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY STE 6B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041584",
            "telephone_number": "801-235-9944",
            "fax_number": "801-235-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S SLEEPY RIDGE DR STE 210",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840592614",
            "telephone_number": "385-453-0009",
            "fax_number": "385-453-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "JARED",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "10320622-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Vogel, PA-S
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• Emma Lou Waddell, PA-C
• Lillian Waddell
• Wade D Thompson DDS Ms PC (Thompson Orthodontics)
• Madison Wagley
• Karina McKelle Wagner
• Laura Grace Wagner
• Hope Wagstaff
• Emaree Waite

• Sports Physician Chiropractor in Orem, UT
• Providers in Orem, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.